E0117 HCPCS - CRUTCH, UNDERARM, ARTICULATING, SPRING ASSISTED, EACH

Code Information

Berenson-Eggers Type Of Service Code: D1E - Other DME
Type Of Service Code:
- A - Used durable medical equipment (DME)
- P - Lump sum purchase of DME, prosthetics, orthotics
- R - Rental of DME

Pricing Indicator Code:
- 36 - Capped rental DME (price subject to floors and ceilings)
Multiple Pricing Indicator Code: A - Not applicable as HCPCS priced under one methodology
Coverage Issues Manual Reference Section Number:
N/A
Medicare Carriers Manual Reference Section Number:
- 2100.1
Coverage Code: D - Special coverage instructions apply

Field Name	Field Value
Healthcare Common Procedure Coding System Code	E0117
HCPCS Sequence Number	0010
HCPCS Record Identification Code	3 - First line of procedure record also contains detail information in positions 92-275
HCPCS Long Description	Crutch, underarm, articulating, spring assisted, each
HCPCS Short Description	Underarm springassist crutch
HCPCS Pricing Indicator Code 1	36 - Capped rental DME (price subject to floors and ceilings)
HCPCS Multiple Pricing Indicator Code	A - Not applicable as HCPCS priced under one methodology
HCPCS Medicare Carriers Manual Reference Section Number 1	2100.1
HCPCS Coverage Code	D - Special coverage instructions apply
HCPCS Berenson-Eggers Type Of Service Code	D1E - Other DME
HCPCS Type Of Service Code 1	A - Used durable medical equipment (DME)
HCPCS Type Of Service Code 2	P - Lump sum purchase of DME, prosthetics, orthotics
HCPCS Type Of Service Code 3	R - Rental of DME
HCPCS Anesthesia Base Unit Quantity	0
HCPCS Code Added Date	1/1/2003
HCPCS Action Effective Date	4/1/2014
HCPCS Action Code	N - No maintenance for this code